Healthcare Provider Details
I. General information
NPI: 1215489067
Provider Name (Legal Business Name): EMERGENCY MEDICINE SOLUTIONS LLC DBA EMS URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2016
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
175 CAREW ST
SPRINGFIELD MA
01104-2389
US
IV. Provider business mailing address
4 OPEN SQUARE WAY SUITE 416
HOLYOKE MA
01040-6295
US
V. Phone/Fax
- Phone: 413-748-9151
- Fax: 413-452-6049
- Phone: 413-437-7464
- Fax: 413-437-7456
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LOUIS
J
DURKIN
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 413-748-9151